Implementation and Effectiveness of Non-Specialist Mediated Interventions for Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis

Annual Research Review: Achieving universal health coverage for young children with autism spectrum disorder in low‐ and middle‐income countries: a review of reviews

“…Several reviews highlighted the inadequate availability and inaccessibility of specialist healthcare facilities, a lack of highly‐trained, specialist healthcare workers, and little opportunity or infrastructure for the up‐skilling and supervision necessary for existing personnel to deliver evidence‐based interventions (Adugna et al, 2020; Dawson‐Squibb et al, 2020; Lee & Meadan, 2020; Liu et al, 2020). Recommendations to address these barriers include the use of scalable delivery methods, such as parent training and parent‐mediated delivery, self‐administered programs, low‐intensity programs, and the use of mobile and internet technology (Franz et al, 2017; Liu et al, 2020; Naveed et al, 2019; Reichow et al, 2013). An overarching recommendation made by several recent reviews is for LAMIC to integrate autism interventions within existing systems of care by capitalizing upon the local nonspecialist healthcare workforce, or on ‘parent‐champions’, to deliver community‐based or home‐based care (Franz et al, 2017; Lee & Meadan, 2020; Naveed et al, 2019; Patra & Kar, 2020), and that individual countries should identify the most appropriate intervention agent for their individual contexts (Franz et al, 2017).…”

“…Recommendations to address these barriers include the use of scalable delivery methods, such as parent training and parent‐mediated delivery, self‐administered programs, low‐intensity programs, and the use of mobile and internet technology (Franz et al, 2017; Liu et al, 2020; Naveed et al, 2019; Reichow et al, 2013). An overarching recommendation made by several recent reviews is for LAMIC to integrate autism interventions within existing systems of care by capitalizing upon the local nonspecialist healthcare workforce, or on ‘parent‐champions’, to deliver community‐based or home‐based care (Franz et al, 2017; Lee & Meadan, 2020; Naveed et al, 2019; Patra & Kar, 2020), and that individual countries should identify the most appropriate intervention agent for their individual contexts (Franz et al, 2017). This requires intervention programs to be designed to be delivered by skilled, but less qualified, practitioners, also called ‘task sharing’ (Raviola, Naslund, Smith, & Patel, 2019).…”

“…In Nigeria, the Child Rights Act, 2003, promises equal opportunities to every Nigerian child, but many social, political and cultural factors prevent its full implementation (Bakare et al, 2019 Mobile applications incorporating video content can improve parental understanding of questions and lead to more accurate screening (e.g., ASDetect; Barbaro & Yaari, 2020). Adding advice from experts or allowing parents to upload videos for expert comments, offers potential to facilitate expert opinions where specialist resources are limited (Nazneen et al, 2015).…”

“…A wider range of outcomes to complement the focus on effectiveness, to include feasibility, acceptability, scalability (including implementation fidelity; Dawson-Squibb et al, 2020;Lee & Meadan, 2020) and sustainability (including economic assessments of cost-effectiveness; Naveed et al, 2019).…”

Psychosocial Interventions for Perinatal Depression in China: A Systematic Review and Meta-Analysis

“…Subgroup analyses were used to explore the sources of heterogeneity according to quality of the study, scale, theoretical orientation, specificity, scope of intervention and elements of interventions. Studies with two or less items ranked as high risk were classified as high quality, otherwise were classified as low quality (Naveed, S. et al, 2019). Scope of intervention was classified as treatment and prevention.…”